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Organization
NANCY EBB LLC
Active
Organization
NANCY EBB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY EBB MSW, LCSW-C (SOLE OWNER)
(301) 538-1624
Entity
Organization
Contact information
Practice address
4405 E WEST HWY STE 501, BETHESDA, MD 20814-4536
(301) 538-1624
Mailing address
7171 WOODMONT AVE UNIT 601, BETHESDA, MD 20815-6276
(301) 538-1624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403771500
—
MD
Enumeration date
06/25/2019
Last updated
06/25/2019
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